J.Jpn. Surg. Soc.. 79(8): 741-745, 1978

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Report on the annual meeting

THE INDICATIONS AND THE RESULTS OF DIFFERENT TYPES OF RADICAL SURGERY FOR BREAST CANCER

Since the end of the last century the “Halsted operation” has been generally accepted as a standard procedure for primary operable breast cancer, but thereafter extended radical mastectomy, while recently conservative mastectomy have been adopted even in Japan. In our department, radical mastectomy (Halsted) has been performed in 311 cases, parasternal dissection in 258 cases, parasternal plus supraclavicular dissection in 50 cases, and modified radical operation (Madden's procedure) in 26 cases, respectively.
As a result, 5-year survival rates in the four different radical surgeries were as follows: 90.9% in modified radical group (11 cases), 84.3% in standard radical group (210 cases), 77.0% in parasternal group (178 cases), and 48.0% in parasternal plus supraclavicular group (25 cases). The results of parasternal dissection were superior in stage II and III in the case of medical tumor than those of radical mastectomy alone.
Under present circumstances, the surgeons should be careful to select the most proper surgical procedure for each patient, in the case of either conservative or extended surgery.
Besides, from the point of view of a systemic disease on breast cancer, systemic long-term chemotherapy is considered to be essential as a treatment against the distant metastasis.
Key Words: Breast Cancer, Results, Radical Surgeries.

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